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TOWER DETAILS <br /> Applicant's Intended Purpose of Tower XE9 /n�,l<FLGSS rN'TERAter Fg4L,k F0_ <br /> (e.g.coverage,capacity,other). Explain. CC t/E'43 C. <br /> Type of Tower(e.g.monopole,self-support lattice,guyed lattice,etc.) 9 o y e-i) C.A Tr'C 6 <br /> Above Ground Level (AGL) Height (ft.) (i.e. maximum design <br /> potential). 3�D <br /> i <br /> Base/Ground Elevation(ft.) /07(o <br /> What is the"fall-down radius"(ft.)of the proposed tower? -►'NE Toile�� 15 Oe5 yr/e� — o- <br /> Fua /24j)SKS C F Igo' / o.t c f , TO c✓��, <br /> Technology to be Initially Sited on the Proposed Tower(e.g. PC S ctl�,2�Less t nt tF2,✓Fr V�4 Gr♦z <br /> Cellular,PCS,Radio,Television,Microwave,etc.)4 010 161)ire(GSM CeI/uL4< pie/IF <br /> 7-4.414,rn P✓y c v'O eArr: <br /> Number & elevation (Feet AGL) of DAIG' Z12)(pr al1or <br /> Antenna Arrays to be Accommodated <br /> 1 2 3 4 5 6 <br /> Is the primary sponsor of this tower &i/(6-4.5 If a wireless service <br /> a wireless service provider or a provider,please include <br /> tower builder? pzi sE,( J SF) FCC license number. W Q V D 3 I <br /> To the best of the applicant's No If applicable,please explain in the box below to the <br /> knowledge,will this tower be greatest extent known in what manner the tower will be <br /> lighted? Circle One lighted. <br /> Lighting Configuration: PER FA A R J,4LAno riS Z 3 6 e.ei cc Al 00; <br /> (&rl,re) t�o App X. ,4,O <br /> Are there any mitigation measures being taken to minimize the visual impact of this tower? If so,explain. Attach <br /> an additional page if necessary. 16: . ul i 771 ,S er8,9 c. 4/47144._,i" fit= F9c,4 r f 4$'0 13c=,"ry <br /> 36-'4,140 u. J c c c 5 44/r19.4 rc ✓6 Ci <br /> �S L �yii�v Sc L d e S� 744;C4 <br /> SET b 44C S OS� , 470.•.1 N``Diez,m o <br /> 413, <br /> PRELIMINARY INFORMATION ON OPTIONS FOR COLLOC4TION <br /> What search area radius was used to determine the location of the proposed tower? c I i Ltr t4ET.:•ALS <br /> Are there any existing towers or other potentially suitable structures in excess of 80 feet in <br /> height within a 1.5 mile radius? If yes, how many structures total are there? Yes No <br /> Q structures. If yes,please attach map showing the location of these structures in <br /> proximity to the proposed tower. Circle One <br /> Has the applicant examined each of the structures noted above to determine if an antenna Yes No <br /> array can or may be located on the structure? NA Circle One <br /> ° Note that this statement in itself does not necessarily preclude in the future the placement of alternative <br /> technologies on this structure. <br /> 5 Note that more detailed information regarding options for collocation and addressing s. 10.194(2)of the <br /> Dane County Code of Ordinances is required in the Written Statement. <br /> H:\Zoning\Zoning Diviajon Documentation\Informational Materials\Communication Towers\Communication Tower Application <br /> Packet 09-2010.doc <br /> Page 7 of 10 <br /> 210 Martin Luther King Jr.Blvd.s'•Room 116,City-County Bldg.i Madison,WI 53703-3342 s''+Phone:608.266.4266 i•Fax:608.267.1540 <br />